Anthony J Liotta | Richmond Hill, NY • PECOS Search

Anthony J Liotta

Social Worker

Behavioral Health & Social Service Providers

8423 114th St, Richmond Hill, NY 11418-1344

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony J Liotta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215140512
Provider Type
Individual
Full Name
Liotta, Anthony J
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
No
Enumeration Date
5/7/2007
Last Updated
7/8/2007

Contact Information

Practice Location

8423 114th St, Richmond Hill, NY 11418-1344

Unlisted Fax

Mailing Location

8423 114th St, Richmond Hill, NY 11418-1344

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 019562 -1R New York